Provider Demographics
NPI:1750572285
Name:RARAMA, MICHELLE AGUILAR (R D)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:AGUILAR
Last Name:RARAMA
Suffix:
Gender:F
Credentials:R D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 LILIHA ST
Mailing Address - Street 2:SUITE 226
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1600
Mailing Address - Country:US
Mailing Address - Phone:808-585-4600
Mailing Address - Fax:808-585-4601
Practice Address - Street 1:2226 LILIHA ST
Practice Address - Street 2:SUITE 226
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1600
Practice Address - Country:US
Practice Address - Phone:808-585-4689
Practice Address - Fax:808-585-4681
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRD-85007925133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal